at the interface of community and healthcare systems a longitudinal cohort study on evolving health and the impact of primary healthcare from the patients perspectiv在社区和卫生保健系统的接口上的纵向队列研究发展健康和影响从病人的perspectiv初级卫生保健.pdfVIP

Haggerty et al. BMC Health Services Research 2010, 10:258 /1472-6963/10/258 STUDY PROTOCOL Open Access At the interface of community and healthcare systems: a longitudinal cohort study on evolving health and the impact of primary healthcare from the patient’s perspectiv 1 2* 3 2 4,5 Jeannie Haggerty , Martin Fortin , Marie-Dominique Beaulieu , Catherine Hudon , Christine Loignon , Michel Préville4,5, Danièle Roberge4,5 Abstract Background: Massive efforts in Canada have been made to renew primary healthcare. However, although early evaluations of initiatives and research on certain aspects of the reform are promising, none have examined the link between patient assessments of care and health outcomes or the impacts at a population level. The goal of this project is to examine the effect of patient-centred and effective primary healthcare on the evolution of chronic illness burden and health functioning in a population, and in particularly vulnerable groups: the multi-morbid and the poor. Methods/Design: A randomly selected cohort of 2000 adults aged 25 to 75 years will be recruited within the geographic boundaries of four local healthcare networks in Quebec. At recruitment, cohort members will report on socio-demographic information, functional health and healthcare use. Two weeks, 12 months and 24 months after recruitment, cohort participants will complete a self-administered questionnaire on current health and health behaviours in order to evaluate primary healthcare received in the previous year. The dependent variables are calculated as change over time of functional health status, chronic illness burden, and health behaviours. Dimensions of patient-centred care and clini